STACY LYNN MCFAUL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120808

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

MCFAUL

Suffix

Business Name

STACY LYNN MCFAUL DO

Original Issue Date

05/07/2008

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/01/2017